MATERNITY HESI TEST BANK QUESTIONS
AND ANSWERS 2025-2026 ALREADY
PASSED
A 4 week old premature infant has been receiving epoetin
alfa (Epogen) for the last 3 weeks. Which assessment
finding indicates to the nurse that the drug is effective?
A. slowly increasing urinary output over the last week
B. respiratory rate changes from the 40s to the 60s.
C. changes in apical heart rate from the 180s to the 140s
D. change in indirect bilirubin from 12 mg/dl to 8 mg/dl -
correct answer - A. slowly increasing urinary output over
the last week
A 23 year old client who is receiving Medicaid is pregnant
with her first child. Based on knowledge of the statistics
related to infant mortality, which plan should the nurse
implement with this client?
A. refer the client to a social worker to arrange for home
care
B. recommend prenatal care from an obstetrician, not a
nurse midwife
C. teach the client why keeping prenatal care
appointments is important
,D. Advise the client that neonatal intensive care may be
needed - correct answer - C. teach the client why
keeping prenatal care appointments is important
A 24-hour old newborn has a pink papular rash with
vesicles superimposed on the thorax, back and abdomen.
What action should the nurse implement?
A. notify the healthcare provider
B. move the newborn to an isolation nursery
C. document the finding in the infant's record
D. obtain a culture of the vesicles - correct answer - C.
document the finding in the infant's record. Erythema
Toxicum (or erythema neonatorium) is a newborn rash
that is commonly referred to as "flea bites." but is a
normal finding that is documented in the infant's record
and requires no further action.
A 25-year-old client has a positive pregnancy test. One
year ago she had a spontaneous abortion at 3 months of
gestation. Which is the correct description of this client
that should be documented in the medical record?
A.Gravida 1, para 0
B.Gravida 1, para 1
,C.Gravida 2, para 0
D.Gravida 2, para 1 - correct answer - C.Gravida 2, para
0
Rationale: This is the client's second pregnancy or second
gravid event, so option C is correct. The spontaneous
abortion (miscarriage) occurred at 3 months of gestation
(12 weeks), so she is a para 0. Parity cannot be increased
unless delivery occurs at 20 weeks of gestation or
beyond. Option A does not take into account the current
pregnancy, nor does option B, which also counts the
miscarriage as a "para," an incorrect recording. Although
option D is correct concerning gravidity, para 1 is
incorrect.
A 26-year old, gravida 2, para 1 client is admitted to the
hospital at 28 weeks gestation in preterm labor. She is
given 3 doses of terbutaline sulfate (Brethine) 0.25mg SQ
to stop her labor contractions. The nurse plans to monitor
for which primary side effect of terbutaline sulfate?
A. drowsiness and bradycardia
B. depressed reflexes and increased respirations
C. tachycardia and a feeling of nervousness
, D. a flushed, warm feeling and a dry mouth - correct
answer - C. tachycardia and a feeling of nervousness
A 26-year-old gravida 2, para 1, client is admitted to the
hospital at 28 weeks of gestation in preterm labor. She is
given three doses of terbutaline sulfate (Brethine), 0.25
mg subcutaneously, to stop her labor contractions. What
are the primary side effects of terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - correct
answer - C.Tachycardia and a feeling of nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-
sympathomimetic drug, stimulates beta-adrenergic
receptors in the uterine muscle to stop contractions. The
beta-adrenergic agonist properties of the drug may cause
tachycardia, increased cardiac output, restlessness,
headache, and a feeling of nervousness. Option A is not a
AND ANSWERS 2025-2026 ALREADY
PASSED
A 4 week old premature infant has been receiving epoetin
alfa (Epogen) for the last 3 weeks. Which assessment
finding indicates to the nurse that the drug is effective?
A. slowly increasing urinary output over the last week
B. respiratory rate changes from the 40s to the 60s.
C. changes in apical heart rate from the 180s to the 140s
D. change in indirect bilirubin from 12 mg/dl to 8 mg/dl -
correct answer - A. slowly increasing urinary output over
the last week
A 23 year old client who is receiving Medicaid is pregnant
with her first child. Based on knowledge of the statistics
related to infant mortality, which plan should the nurse
implement with this client?
A. refer the client to a social worker to arrange for home
care
B. recommend prenatal care from an obstetrician, not a
nurse midwife
C. teach the client why keeping prenatal care
appointments is important
,D. Advise the client that neonatal intensive care may be
needed - correct answer - C. teach the client why
keeping prenatal care appointments is important
A 24-hour old newborn has a pink papular rash with
vesicles superimposed on the thorax, back and abdomen.
What action should the nurse implement?
A. notify the healthcare provider
B. move the newborn to an isolation nursery
C. document the finding in the infant's record
D. obtain a culture of the vesicles - correct answer - C.
document the finding in the infant's record. Erythema
Toxicum (or erythema neonatorium) is a newborn rash
that is commonly referred to as "flea bites." but is a
normal finding that is documented in the infant's record
and requires no further action.
A 25-year-old client has a positive pregnancy test. One
year ago she had a spontaneous abortion at 3 months of
gestation. Which is the correct description of this client
that should be documented in the medical record?
A.Gravida 1, para 0
B.Gravida 1, para 1
,C.Gravida 2, para 0
D.Gravida 2, para 1 - correct answer - C.Gravida 2, para
0
Rationale: This is the client's second pregnancy or second
gravid event, so option C is correct. The spontaneous
abortion (miscarriage) occurred at 3 months of gestation
(12 weeks), so she is a para 0. Parity cannot be increased
unless delivery occurs at 20 weeks of gestation or
beyond. Option A does not take into account the current
pregnancy, nor does option B, which also counts the
miscarriage as a "para," an incorrect recording. Although
option D is correct concerning gravidity, para 1 is
incorrect.
A 26-year old, gravida 2, para 1 client is admitted to the
hospital at 28 weeks gestation in preterm labor. She is
given 3 doses of terbutaline sulfate (Brethine) 0.25mg SQ
to stop her labor contractions. The nurse plans to monitor
for which primary side effect of terbutaline sulfate?
A. drowsiness and bradycardia
B. depressed reflexes and increased respirations
C. tachycardia and a feeling of nervousness
, D. a flushed, warm feeling and a dry mouth - correct
answer - C. tachycardia and a feeling of nervousness
A 26-year-old gravida 2, para 1, client is admitted to the
hospital at 28 weeks of gestation in preterm labor. She is
given three doses of terbutaline sulfate (Brethine), 0.25
mg subcutaneously, to stop her labor contractions. What
are the primary side effects of terbutaline sulfate?
A.Drowsiness and paroxysmal bradycardia
B.Depressed reflexes and increased respirations
C.Tachycardia and a feeling of nervousness
D.A flushed warm feeling and dry mouth - correct
answer - C.Tachycardia and a feeling of nervousness
Rationale: Terbutaline sulfate (Brethine), a beta-
sympathomimetic drug, stimulates beta-adrenergic
receptors in the uterine muscle to stop contractions. The
beta-adrenergic agonist properties of the drug may cause
tachycardia, increased cardiac output, restlessness,
headache, and a feeling of nervousness. Option A is not a
